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Serum 25-hydroxyvitamin D and the incidence of atrial fibrillation: the Atherosclerosis Risk in Communities (ARIC) study.

TitleSerum 25-hydroxyvitamin D and the incidence of atrial fibrillation: the Atherosclerosis Risk in Communities (ARIC) study.
Publication TypeJournal Article
Year of Publication2016
AuthorsAlonso A, Misialek JR, Michos ED, Eckfeldt J, Selvin E, Soliman EZ, Chen LYee, Gross MD
Secondary AuthorsLutsey PL
JournalEuropace
Volume18
Issue8
Pagination1143-9
Date Published2016 Aug
ISSN1532-2092
KeywordsAtrial Fibrillation, Female, Humans, Incidence, Male, Mass Spectrometry, Middle Aged, Multivariate Analysis, Proportional Hazards Models, Risk Factors, United States, Vitamin D
Abstract

AIMS: To assess the prospective association between circulating 25-hydroxyvitamin D [25(OH)D] and atrial fibrillation (AF) risk.

METHODS AND RESULTS: We studied 12 303 participants from the Atherosclerosis Risk in Communities study without baseline AF (1990-92). Baseline serum total 25(OH)D was measured using mass spectrometry. Incident AF cases were identified from electrocardiograms, hospital discharge codes, and death certificates through 2012. We estimated hazard ratios (HRs) and 95% confidence intervals (95% CIs) of AF across clinical categories of serum 25(OH)D concentrations with multivariable Cox models, and tested interactions by age, race, and sex. We meta-analysed our results with those from published prospective studies that reported associations between 25(OH)D and AF risk. During a median follow-up of 21 years, we identified 1866 AF events. In multivariable models, deficient 25(OH)D status ( 0.40), was identified, with higher risk of AF among those with deficient 25(OH)D status in younger (HR, 95% CI: 1.35, 1.05-1.73) but not older individuals (HR, 95% CI: 1.02, 0.86-1.21). A meta-analysis of these results and four prospective studies did not support a clinically relevant association of circulating 25(OH)D with AF risk [pooled HR, 95%CI: 1.04, 1.00-1.08, per 1 SD lower 25(OH)D].

CONCLUSION: Low serum 25(OH)D was not associated with incident AF in a community-based cohort and in a meta-analysis of prospective studies. A possible association in younger individuals warrants further investigation.

DOI10.1093/europace/euv395
Alternate JournalEuropace
PubMed ID26847078
PubMed Central IDPMC4974632
Grant List16EIA26410001 / AHA / American Heart Association-American Stroke Association / United States
K24 DK106414 / DK / NIDDK NIH HHS / United States
R01 DK089174 / DK / NIDDK NIH HHS / United States
R01 HL103706 / HL / NHLBI NIH HHS / United States